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General NPI Number Information
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NPI Number | 1770985640
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Entity Type | Organization
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Legal Business Name | 360 DEGREE HEALTH PLLC
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Dates
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Enumeration Date | 09/22/2014
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 1022 DIMMOCKS MILL RD
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-7357
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Country | US
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Telephone | 919-636-1725
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Fax |
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Provider Business Mailing Address
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Address Line | 144 E KING ST UNIT 585
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-0287
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Country | US
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Telephone | 984-484-0061
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Fax | 984-538-5105
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA HAIRSTON
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Credential | MD
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Telephone | 919-636-1725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2007-01024
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License Number State | NC
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